2026 CyberPatriot Camp Application

IUP 2026 AFA CyberPatriot Summer Camp Application

This is a free face-to-face five-day camp August 3-7, 2026 (daily schedule from 9:00 AM - 2:00 PM) where students will take part in engaging instruction, group activities, structured discovery, hands-on laboratory experiences, and informal instruction.
Incomplete applications will not be considered. All requested attachments must be included.
Applicants must be entering at least 9th grade in Fall 2026 to apply.
Space is limited, so in cases of comparable qualifications, the earliest application submission will receive preference.

Please direct all questions to cybersecurity-info@iup.edu.

CAMPER INFORMATION

First Name*

Last Name*

School District*

Camper E-mail (personal email addresses only, please do not submit your school email)*

Date of Birth*

MaleFemaleNon-Binary/Other

Current GPA*

Grade in Fall 2026*

APPLICANT REFERENCE

All applicants are required to obtain a reference from a current/former teacher. Please complete the fields below to request a reference. You are STRONGLY encouraged to contact your teacher prior to submitting this application to ensure they are prepared to act as a reference for you.

Reference Name*

Reference Email Address*

example@example.com

Please enter your reference's email address again. Reference request forms will be sent directly to the address you enter below. *

example@example.com

GRADE REPORT

Applicants must submit their most recent grade report.

Please Attach Most Recent Grade Report*

GUARDIAN INFORMATION

First Name*

Last Name*

E-mail*

Street Address*

City*

State*

Zip*

Phone Number*

(XXX) XXX-XXXX

CAMP COMMUNICATION

Guardians and accepted applicants will be primarily contacted via email (please add cybersecurity-info@iup.edu to your contact list to ensure you don't miss any camp communication).

In some cases, camp staff will need to get in touch with guardians via phone. Please indiciate your preferred contact method below:

PhoneText

EMERGENCY CONTACT

Full Name*

Relationship*

Phone Number*

(XXX) XXX-XXXX

PICK UP APPROVAL

Full Name*

Phone Number*

(XXX) XXX-XXXX

MEDICAL INFORMATION

VegetarianNon-Vegetarian

YesNo

Comments on any of the previous medical information (type N/A if you answered No to the previous four questions):*

YesNo

PHOTO/VIDEO RELEASE

Please read the following:

I hereby consent to and authorize the use and reproduction by Indiana University of Pennsylvania, or anyone authorized by IUP, of any and all photographs/videos that have been taken of my child in connection with the above-identiﬁed event for any purpose, without compensation to me.

IUP has permission to use their name, likeness and/or image in materials used to promote and market the university in perpetuity.

All negatives and positives, together with prints, slides, digital images, etc., are owned by Indiana University of Pennsylvania.

I have read and understand the above and attest that I am the parent or legal guardian of the child listed above and that I have the authority to authorize Indiana University of Pennsylvania to use their photograph/video(s) and name.

Guardian should type her/his full name below to authorize Photo Release*

First NameLast Name

ELECTRONIC SIGNATURE/CONSENT

Please read the following:

By signing my name below, I am electronically signing this application, and verifying that all information provided is accurate and true, and that I am legally responsible for the camper named in this application. My electronic signature indicates that I understand that my registration information will be shared with IUP's Office of Undergraduate Admissions for recruitment purposes and could include print, email, text and other communication in the future.

Guardian Signature*